ABSTRACT
Les auteurs rapportent les resultats d'une etude prospective de 82 cas d'infections utero-annexielles ou de leurs sequelles; comme les sterilites; les grossesses extra uterines les douleurs pelviennes chroniques; traitees au C.H.U. de Kamenge entre Mars 1993 et Aout 1994. La moyenne d'age etait de 29;4 ans; et les nullipares representaient 28 pour cent de la serie. Chlamydia trachomatis a ete isole dans 71 pour cent des cas. Sur la base des ces resultats epidemiologiques; les auteurs recommandent une antibiotherapie a diffusion intracellulaire; active sur ce germe; en cas d'infection utero-annexielle
Subject(s)
Chlamydia Infections , Chlamydia trachomatis/epidemiology , Pregnancy , Uterine DiseasesABSTRACT
The authors report a case of an acute renal failure secondary to an obstructive bilateral ureteral endometriosis. They show the limits of the clinical diagnosis as well as the limits of additional explorations and discuss the therapeutic management at the time and in the after effects of the initial acute period.
Subject(s)
Acute Kidney Injury/etiology , Endometriosis/diagnosis , Ureteral Diseases/diagnosis , Acute Kidney Injury/diagnosis , Acute Kidney Injury/therapy , Endometriosis/complications , Endometriosis/surgery , Female , Humans , Middle Aged , Ureteral Diseases/complications , Ureteral Diseases/surgery , Urinary CatheterizationABSTRACT
Les auteurs presentent les resultats de l'induction du travail par amniotomie chez 40 patientes; dont la plupart avaient des uterus fragilises par des grossesses repetees. Le score de Bishop etait le parametre essentiel qui influait sur la duree du travail. Hormis une seule patiente; toutes les autres par voie basse. Les auteurs concluent que l'amniotomie faite sur des cols favorables; peut contribuer a la reduction du nombre des cesariennes; et par consequent de la mortalite et de la morbidite tant maternelle que foetale parmi les patientes dont l'uterus a ete fragilise par la multiparite
Subject(s)
Labor, Obstetric , Labor, Obstetric/methodsABSTRACT
We reviewed 94 cases of complex endometrial hyperplasia (CH) with and without atypia to assess some of the clinical and pathologic changes observed on curettage and in hysterectomy specimens. Age, parity, height, weight and nomograms did not differ between CH with or without atypia, and CH associated with endometrial carcinoma. CH without atypia, however, predicted lesser degrees of malignancy as compared to CH with atypia. Progesterone or progestinlike treatment is indicated for CH without atypia along with endometrial monitoring, but CH with atypia necessitates diagnostic and therapeutic hysterectomy whenever fertility is not a priority.
Subject(s)
Biopsy/methods , Curettage , Endometrial Hyperplasia/pathology , Endometrial Hyperplasia/therapy , Endometrial Neoplasms/pathology , Endometrial Neoplasms/therapy , Hysterectomy , Adult , Aged , Combined Modality Therapy , Endometrial Hyperplasia/complications , Endometrial Hyperplasia/epidemiology , Endometrial Neoplasms/complications , Endometrial Neoplasms/epidemiology , Female , Humans , Middle Aged , Predictive Value of Tests , Progesterone/therapeutic use , Retrospective Studies , Risk FactorsABSTRACT
The purpose of this study was to demonstrate the existence of sexually transmitted diseases secondary to sexual abuse inflicted on young infants in Black Africa. A total of 230 files involving infants presenting leucorrhea or urethral discharge were reviewed in Bujumbura (Burundi) to select only cases with bacteriologically documented gonorrhea. A total of 2 such cases were identified during the period from 1987 to 1992. There were 20 girls and 5 boys with a mean age of 6.4 years. In 4 cases, rape was proven. In 9 cases the contaminator could not be identified, but in 12 cases medical and legal evidence showed that the alleged authors of sexual abuse was a domestic employee at the child's home. These findings indicated that sexual abuse in children is not an uncommon occurrence in Black Africa and often leads to gonorrhea. The consequences of such abuse are aggravated by the epidemic of human immunodeficiency virus. The authors recommend a practical approach that should be taken whenever sexual abuse is suspected in these countries.
Subject(s)
Child Abuse, Sexual/diagnosis , Gonorrhea/transmission , Burundi , Child , Child Abuse, Sexual/legislation & jurisprudence , Child Abuse, Sexual/prevention & control , Child Care , Child, Preschool , Female , Gonorrhea/microbiology , Humans , Leukorrhea/microbiology , Male , Rape , Retrospective Studies , Urethral Diseases/microbiologyABSTRACT
Since a long time, honey has been used in wounds and skin ulcer treatment. Nowadays, it's healing properties are again being discovered. Its good application on wounds and infected burns gives satisfactory results. This work is a study done on 40 patients with wounds of various origin. Honey has healed 88 per cent of the cases. Some germs have been found on the wound at the end of the cicatrization but have not blocked the healing process. This simple, efficient, cheap and with no side effects treatment deserves being better known and integrated in the set of common antiseptics.
